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Individual

MS. JULIE KRAUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC, LSW, SUDC, SSW

Contact information

Practice address
655 S 4TH E STE 100, PRESTON, ID 83263-1616
(208) 529-1660
(208) 529-1699
Mailing address
3522 BRIAR CREEK LN, AMMON, ID 83406-4728
(208) 529-1660
(208) 529-1699

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
SUDC 138645-6006
UT
101YM0800X
Mental Health Counselor
LSW-29915
ID
101YP2500X
Professional Counselor
Primary
LPC-5691
ID
104100000X
Social Worker
138645-3503
UT
104100000X
Social Worker
LSW-29915
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
452899613
ID
Enumeration date
04/09/2015
Last updated
04/09/2015
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